Yadlowsky, Matt

7
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& FILL
No. 76319 A
B D
��Modification
PGE
WFE L ERMIT
Previous permit#
❑Complete Reissue
❑Partial Reissue
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality�
Coastal Resources 'n
7� //
J
&
and the Commissi n an ar of environmental
l//''syf
concern pursuant to 15A NCAC
Rules``attached.
Applicant Name e r dV /� �44
Project Location:
County �O (y
/
Address
StreetrAAddress/ State Road/ Lot #(s)
'Ct
City Y Stat ZIP 9y336
Phone # a
—ME -Mail
Subdivision
Authorized Agent
City
G ZIP
2.
Affected ❑CW Qjjl/A �glS ❑PTS
Phone ()
RiverBasin
e
AEC(s): I]OEA HHF IH ❑UBA El N/A
Adj. Wtr. Body
/
at man unkn
❑ PWS:
�
ORW: yes / no ) PNA yes / to! -
Closest Mal. Wtr.
Body
Type of Project/ Activity % #K .AV U c,/ e
,if,.r ✓F
Pier (dock) length 6-'r
Fixed Platform(s) -
Floating Platform(s)
Finger pier(s)
Groin length i
number
Bulkh / Ripra ength
a nce offshore
max distance offshore_/�
,e
Basin, channel -
cubic yards
Boat ramp I
Boathouse oatli(t —I -
J I
Beach Bulldozing
Other
Shoreline Length /'-4' V�
SAV: not sure yes no 1
Moratorium: n/a yes
i
Photos: yes
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
a
Agent or Applicant
-l5•xr)
(Scale: A Z-1--f )
17
of
3 /Yl 4�� i i✓ / �'•
Li See note on back regarding River Basin rules.
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**leaereadcomplancetatementon bakof mit**Sigae
Exlon Fee(s) Check# IuingDo

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officerwhen the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑Tar -Pamlico River Basin Buffer Rules ❑Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on how to complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner*
Address of Property:
(Lot or Street a, Street or Road, City & County)
Applicant phone A G (/v - 3 .-I k - G ��Nlaiting Address: 2/GB.Y /,j/'Any /1C t/j
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing -the development
they are proposing. A description or drawing with dimensions must be Provided with this letter.
S // I have no objections to this proposal. I have objections to this proposal.
If you have objections to whatis being proposed you must nodly the Division of Coastal Management
(DCM) in writing within 10 days of receipt o1 this notice. Contact information for DCM offices is
available at www.nccoeatalmangementneUcontaet_dem.htm or by calling 1-11864RCOAST. No
response is considered the some as no ob)action If you have been ratified by Certified Mall.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a
minimum distance of 15' from my area of riparian access unless waived by me. (It you wish to
waive the setback, you must initial the appropriate blank below,)
i' I do wish to waive the 15' setback requirement.
X_ I donot wish to waive the 15'setback requirement.
(Property Owner Information)
d
J'i�rrunire � --
Writ or Type Name
/ GsrK id, AJ r/ L/akG /J(✓D
Mailing Address
i`In21-A K, yNl y!933G
City/Slate2lp
Telephone Number
Dmr... --- __..—
(RipeProperty Owner Infor-maattiion)
Signature
✓fr..'r
Print or Type Name
;;kys
Ffading Address
Cify1metalTTip F
412) 5-0--
Telephone Number
Dare

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: 111< YA0 Ld C,I SK Y
Address of Property: �2-0 AIIJO ! 4t rC/t'VG .$T/_`�LrQ i Q(/SLOy✓
(Lot or Street #, Street or Road, City & County)
Applicant phone#: Mailing Address: -�2-1(ffl- ,CAOY�AKc 9L✓,6
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions must be provided with this letter.
Y1 have no objections to this proposal. —I have objections to this proposal.
If you have objections to what is being proposed, you mustnotify the Division of Coastal Management
(DCM) In writing within 10 days of receipt of this notice. Contact Information for DCM offices Is
available at www.nccoastalmangement.neticontacf dcm.him or by calling 1-888.4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to
waive the setback, you must Initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
_X_ I do not wish to waive the 15'setback requirement.
(Property Owner Information) (Riparian Property Owner Information)
Signature LS Signature
t� L �c , MATT YA OC-J [t/Slky
Print or T pe Name Print or Type Name
QII efrnlevtk 1i r,wc
Mailing Address
)\ r . YJ Or, '8 S 3y
City ., lZip
a- 3 9 a - S aa3
Telephone Number
oa IIo1-)0-40
,9 4 ks- /s U & I Aiet fit- v0
Mailing Address
City/Stategip
Telephone Number
Dale Dale

- J
W
< Riprap - 12' width along
+ 121' shore line
243 Andrews Lane I f
Stella, NC 28582 j
OF
5 x 200' dock (total length)
13' x 17' platform
2 boat lifts
'' Lower platform for kayak launch

;an
�a' �,,: a

DREDGE & FILL ''(i -7 � � ( i')
GENERAL PERMIT Previous permit#
�w ❑Modification Complete Reissue -- Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality " W ' _/
and the Coastal Resources Commissl r in an are of environmental concern pursuant to I SA NCAC / t/1 V v W
/� - _ / i es attached
Applicant Name rIG [/ _ GG/ Q-) /4C / Project Location: County-__0 - U t-./
Address I6 __ , IrCc�'t c% 4_1,>' Vvr Street Address/ S to Road/ Lot #(s)
�j ^ —
City ►"� e Stat zIP9J� Q1_. i1C�l�rL✓f `�
- --
Phone # ( �/ _Mail _ — ___ Subdivision _
Authorized Agent _- City �Y G _. _ ZIPO
Affected —CW �1EW�,.�IiA >W ,--I PTS
AEC(s): .--.OEA HHF ..IH C'.UBA IN/A
ORW: yes / /to/ PNA
Type of Project/ Activity
Pier (dock) length (v/C�v"jl_
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)_ _ _
Groin length _
number
ulkhea iprap length '
g distance offshore l
max distance offshore
Basin, channel
cubic yards_.
Boat ramp _n
Boathouse/ oadifOkl'v
Beach Bulldozing
Other
Shoreline Length
SAv: not sure yes n
Moratorium: n/a yes o
Photos: yes
Waiver Attached: yes n
A building permit may be required by:
( Note Local Planning Jurisdiction �.
Ngef/ Special Conditions
1
E
I..
Phone # (- ) _ Riv Bln z\ Afl C/lgK
Adj, W[r. Body � r�(�'� pt % an /unkn)
Closest Maj.
o,
n
Ma 177-A
Agent or Applicant
.Prr�inteedd/Name Permit
4§6
"rea ent on backof permit*' Signal
- I I��-- --(
Check# Issuin,
6r
(Scale: ..; )
See note on back regarding River Basin rules.
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